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Complaint Investigation

Brookdale Trinity Towers

Inspection Date: September 10, 2025
Total Violations 1
Facility ID 675773
Location Corpus Christi, TX
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Inspection Findings

F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

21 days from admission to complete it. The MDS nurse stated there was a care plan for skin integrity, but

she agreed it was for Resident #1's skin breakdown to her buttocks since one of the interventions was to apply a barrier cream. She stated there should have been one specifically for the surgical wound requiring wound care. The MDS nurse stated the care plan was a clinical tool used by staff to determine how to address the residents wants, needs, and care. The MDS nurse reiterated and clarified she had 21 days from admission or 14 days from the date of the comprehensive assessment to finish the comprehensive care plan, then after looking it up, she stated she was wrong, and it was 7 days from the date the comprehensive assessment was completed. She stated Resident #1's comprehensive assessment was completed on 08/25/2025, so her comprehensive care plan should have been completed by 09/01/2025, and Resident #1's still was not completed because she was still adding interventions, such as bed in low position (added 09/09/2025) and fall mats (added 09/10/2025).In an interview on 09/10/2025 at 3:05 PM

the DON stated Resident #1 was admitted to the skilled unit for therapy and post-surgical care after a fall which caused a fracture requiring surgical intervention. She also stated she was not sure why the surgical wound requiring wound care was not on the care plan, but it should have been since it was the reason Resident #1 was admitted . The DON stated some things, such as the floor mats, had not been addressed

on the care plan because she was under the impression the facility had 21 days from admission, regardless of when the comprehensive assessment had been completed. Record review of the facility's Comprehensive Care Plan Policy, dated November 2017, revealed A comprehensive, person-centered care plan will be developed for each resident that includes measurable objectives and timeframes to meet the resident's medical, nursing, mental and psychosocial needs that have been identified through a comprehensive assessment. 1. The Comprehensive Care Plan will describe treatments and services to assist the resident to attain or maintain the highest level of physical, mental and psychosocial wellbeing. 2.

The comprehensive care plan is based on a comprehensive assessment which includes, but is not limited to, the MDS, Care Area Assessments, clinical assessments and data collection form, therapy evaluations, psychosocial and cognitive evaluations, physician assessments/consults.

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📋 Inspection Summary

Brookdale Trinity Towers in Corpus Christi, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Corpus Christi, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Brookdale Trinity Towers or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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